Reduction of C. jejuni may require complex approach

Leonid Ushanov
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引用次数: 2

Abstract

Campylobacter jejuni has emerged as the third leading cause of enteric infections in the developed world, but the measures that have been undertaken to decrease its prevalence in farm-raised poultry, which remain the predominant source of campylobacter infections worldwide, have been inconsistent. Based on the review of numerous publications on C. jejuni there is a clear traceable link between the prevalence of C. jejuni and poultry meat. This link is more apparent for industrialized nations. Because campylobacter, as pathogen, have been considered as less important compared to, for example, salmonella, whose immediate sequelae are far more severe than that of C. jejuni, food poisoning due to campylobacter have received far less attention. However, it has become clear that the long-term consequences of campylobacteriosis may result in considerable complications to an individual's health due to the growing antibiotic resistance.

To date, elimination of campylobacter colonization of farm-raised chickens using preventive biosecurity measures or vaccinations have been unsuccessful because of the presence of campylobacter both in the environment and many animal species. Vaccination efforts have been unsuccessful due to inability to achieve clearance of bacteria during the lifespan of broilers and because of the wide diversity of serotypes of C. jejuni strains. Alternative methods of reduction of C. jejuni, such as administering probiotics and prebiotics in the chicken feed and phage therapy, have also been partially effective, which means that significant reduction of campylobacter in farm raised chickens may require application of all approaches mentioned above combined with improved biosecurity measures.

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减少空肠梭菌可能需要复杂的方法
空肠弯曲杆菌已成为发达国家肠道感染的第三大原因,但已采取措施减少其在农场饲养的家禽中的流行,这仍然是世界范围内弯曲杆菌感染的主要来源,一直不一致。根据对大量关于空肠梭菌的出版物的回顾,空肠梭菌的流行与禽肉之间存在明确的可追溯联系。这种联系在工业化国家更为明显。由于弯曲杆菌作为一种病原体,一直被认为不如沙门氏菌那么重要,而沙门氏菌的直接后遗症远比空肠梭菌严重,因此弯曲杆菌引起的食物中毒受到的关注要少得多。然而,很明显,弯曲杆菌病的长期后果可能导致相当大的并发症,对个人的健康,由于日益增长的抗生素耐药性。迄今为止,由于环境和许多动物物种中都存在弯曲杆菌,使用预防性生物安全措施或接种疫苗来消除农场养鸡中的弯曲杆菌定植并不成功。由于在肉鸡的整个生命周期内无法实现细菌的清除,以及空肠梭菌菌株血清型的广泛多样性,疫苗接种工作一直不成功。减少空肠梭菌的替代方法,如在鸡饲料中添加益生菌和益生元以及噬菌体治疗,也已部分有效,这意味着在农场饲养的鸡中显著减少弯曲杆菌可能需要应用上述所有方法并结合改进的生物安全措施。
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